A fallopian tube patency test using ExEm foam is a modern, minimally invasive diagnostic method designed to assess the patency of the fallopian tubes and the condition of the uterine cavity. The procedure is performed under ultrasound guidance, using special foam-like substances that allow a clear view of whether the fallopian tubes are patent. It is a safe, quick and generally well-tolerated procedure.
How long does the procedure take?
- The procedure itself takes around 10–15 minutes;
- The entire visit to the clinic may take around 30–60 minutes;
- The duration may vary depending on the individual situation.
Who is this procedure intended for?
- When investigating the causes of infertility;
- When fallopian tube blockage is suspected;
- Following inflammatory conditions or gynaecological surgery;
- Before planning assisted reproduction procedures.
Detailed information about the procedure
What happens before the procedure?
- Your health status and medical history are assessed;
- A transvaginal pelvic ultrasound scan is carried out;
- Blood tests or checks for infections may be carried out;
- The procedure and any potential risks are explained;
- An informed consent form is signed;
- The procedure is usually carried out at the start of the cycle (after your period).
What happens during the procedure?
The patient lies down on the gynaecological examination chair. A plastic speculum is inserted into the vagina to spread the vaginal walls, allowing the obstetrician-gynaecologist to examine and assess the cervix and surrounding tissues. During the examination, the doctor inserts a thin catheter through the cervix and injects ExEm foam into the uterine cavity. The obstetrician-gynaecologist then uses ultrasound to monitor how the foam passes through the fallopian tubes. You may experience mild cramps during the procedure, similar to period pains.
What happens after the procedure?
After the procedure, the obstetrician-gynaecologist may monitor you for up to 15 minutes to ensure you do not experience any side effects, including dizziness, nausea or an allergic reaction. You will be able to go home on the same day as the procedure. The following day, you may experience slight discomfort or notice some light vaginal bleeding.
Side effects of the procedure
- Mild abdominal cramping;
- Light bleeding or discharge;
- In rare cases – an infection or more severe pain.
When should you contact your doctor?
- Bleeding that does not subside over time, becomes heavier or is very heavy;
- Discharge with an unpleasant odour;
- Severe or prolonged abdominal pain;
- Fever or chills.